Hostname: page-component-848d4c4894-mwx4w Total loading time: 0 Render date: 2024-06-29T18:06:55.043Z Has data issue: false hasContentIssue false

Cervical necrotizing fasciitis and radiotherapy: a report of two cases

Published online by Cambridge University Press:  29 June 2007

S. Mortimore*
Affiliation:
Department of Otolaryngology, Groote Schuur Hospital, Cape Town, South Africa.
M. Thorp
Affiliation:
Department of Otolaryngology, Groote Schuur Hospital, Cape Town, South Africa.
*
Address for correspondence: S. Mortimore, Department of Otolaryngology, Whiston Hospital, Prescot, Merseyside L35 5DR.

Abstract

Two cases of cervical necrotizing fasciitis are presented. Both are unusual in that they had had radiotherapy for head and neck malignancy six and 14 years previously with no evidence of tumour recurrence. One case of necrotizing fasciitis has previously been cited in the literature associated with radiotherapy (Krespi et al., 1981). The two cases are discussed along with a review of the literature.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Balcerak, R. J., Sisto, J. M., Bosack, R. C. (1988) Cervicofacial necrotizing fasciitis: report of three cases and literature review. Journal of Oral and Maxillofacial Surgery 46: 450459%.CrossRefGoogle ScholarPubMed
Banerjee, A. R., Murty, G. E., Moir, A. A. (1996) Cervical necrotizing fasciitis: a distinct clinicopathological entity Journal of Laryngology and Otology 110: 8186.CrossRefGoogle ScholarPubMed
Edmondson, H. T., Rhode, C. M., Seago, R. W. (1972) Necrotizing fasciitis caused by hemolytic Staphylococcus aureus. American Surgeon 174: 523526.Google Scholar
Giuliano, A., Lewis, F., Hadley, K., Blaisdell, F. W. (1977) Bacteriology of necrotizing fasciitis. American Journal of Surgery 134: 5356.CrossRefGoogle ScholarPubMed
Henrich, D. E., Smith, T. L., Mukherji, S., Drake, A. F. (1996) Pediatric craniocervical necrotizing fasciitis. Annals of Otology, Rhinology and Laryngology 105: 1214.CrossRefGoogle ScholarPubMed
Jones, J. (1871) Investigation upon the nature, causes are treatment of hospital gangrene as it prevailed in the Confederate armies 1861–1865. In US Sanitary Commision, Surgical Memoirs of the War of Rebellion. Riverside New York, pp 146170.Google Scholar
Klabacha, M. E., Stankiewicz, J. A., Clift, S. E. (1982) Sever soft tissue infection of the face and neck. A classificatioi Laryngoscope 92: 11351139.CrossRefGoogle ScholarPubMed
Krespi, Y. P., Lawson, W., Blaugrund, S., Biller, H. F. (1981) Massive necrotizing infections of the neck. Head and Nea Surgery 3: 475481.CrossRefGoogle ScholarPubMed
McHenry, C. R., Brandt, C. P., Piotrowski, J. J. (1994) Idiopathic necrotizing fasciitis: Recognition, incidence anc outcome of therapy. American Surgeon 60: 490494.Google Scholar
Overholt, E. M, Flint, P. W., Overholt, E. L., Murakami, C. S. (1992) Necrotizing fasciitis of the eyelids. Otolaryngology – Head and Neck Surgery 106: 339344.CrossRefGoogle ScholarPubMed
Salins, P. C, Saxena, S., John, J. K. (1996) Reconstruction of mandible and surrounding soft tissues in patient with necrotizing fasciitis. International Journal of Oral and Maxillofacial Surgery 25: 98100.CrossRefGoogle ScholarPubMed
Skorina, J., Kaufman, D. (1995) Necrotizing fasciitis originating from pinna perichondritis. Otolaryngology – Head and Neck Surgery 113(4): 467473.CrossRefGoogle ScholarPubMed
Stephens, B. J., Lathrop, J. C, Rice, W. T., Gruenberg, J. C. (1993) Fournier's gangrene: historic (1764–1978) versus contemporary (1979–1988) differences in etiology and clinical importance. American Surgeon 59: 149154.Google ScholarPubMed
Tibbs, M. K. (1997) Wound healing following radiation therapy: a review. Radiotherapy and Oncology 42: 99106.CrossRefGoogle ScholarPubMed
Umbert, I. J., Winkelman, R. K. (1988) Necrotizing fasciitis: A clinical, microbiologic and histopathologic study of 14 patients. Journal of the American Academy of Dermatology 20: 788790.Google Scholar
Walshaw, C. F., Deans, H. (1996) CT findings in necrotizing fasciitis– A report of four cases. Clinical Radiology 51:429432.CrossRefGoogle ScholarPubMed
Ward, R. G., Walsh, M. S. (1991) Necrotizing fasciitis. Ten years experience in a District General Hospital. British Journal of Surgery 78: 488489.CrossRefGoogle Scholar
Yii, N. W., Quinn, S. J., Andersson, L. C, Niranjan, N. S., Kenyon, G. S. (1996) Cervical necrotizing fasciitis with pharyngeal perforation: treatment and reconstruction. British Journal of Plastic Surgery 49: 237241.CrossRefGoogle ScholarPubMed